Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $76.55	Facility		$75.79	$75.79	$76.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $84.01	Professional		$75.79	$75.79	$84.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $5.73 / $5.73	Professional		$4.87	$5.73	$5.73
Christus Facility/Professional Facility Modifier Low / Median / High Price $117.28 / $121.37 / $121.37	Facility		$117.28	$121.37	$121.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.50 / $75.79 / $75.79	Facility		$71.50	$75.79	$75.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Professional		$75.79	$75.79	$75.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $1,140.00 / $1,140.00	Facility		$969.00	$1,140.00	$1,140.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,311.00 / $1,311.00 / $1,311.00	Professional		$1,311.00	$1,311.00	$1,311.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.55 / $83.18 / $160.66	Facility		$76.55	$83.18	$160.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $94.74	Professional		$75.79	$75.79	$94.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $205.54 / $776.73	Professional		$81.84	$205.54	$776.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $160.66	Facility		$75.79	$75.79	$160.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $107.25	Professional		$75.79	$75.79	$107.25
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $77.38	Professional		$75.79	$75.79	$77.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $83.18 / $119.43	Professional		$75.79	$83.18	$119.43